MEDICARE: MICHEL P. HELMKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	146-000949	IL

General Provider Information

NPI Number	:	1013002914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHEL P. HELMKE

Provider Business Mailing Address
First Line	:	1640 W ROOSEVELT RD
Second Line	:	ROOM 336 (M/C 628)
City	:	CHICAGO
State	:	IL
Zip	:	60608-1316
Country	:	US
Telephone Number	:	312-413-1563
Fax Number	:	312-413-1993

Provider Business Practice Location Address
First Line	:	1640 W ROOSEVELT RD
Second Line	:	ROOM 336 (M/C 628)
City	:	CHICAGO
State	:	IL
Zip	:	60608-1316
Country	:	US
Telephone Number	:	312-413-1563
Fax Number	:	312-413-1993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	05/20/2020

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Directions to “ MICHEL P. HELMKE ” Practice Location

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